Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 0067U Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Onc Brst Imhchem Prfl 4 Bmrk, Oncology Breast Immunohistochemistry Protein Expression Profiling Of 4 Biomarkers Matrix Metalloproteinase 1 Mmp 1 Carcinoembryonic Antigen Related Cell Adhesion Molecule 6 Ceacam6 Hyaluronoglucosaminidase Hyal1 Highly Expressed In Cancer Protein Hec1 Formalin Fixed Paraffin Embedded Precancerous Breast Tissue Algorithm Reported As Carcinoma Risk Score
| Key Fact | Detail |
|---|---|
| Service Type | Proprietary Laboratory Analyses |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 0067U |
| Medicaid Fee Schedule | View Medicaid rates for 0067U |
National average reimbursement for CPT 0067U by major payers:
$1,441.02
$1,062.32
$N/A
$3,267.40
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 0067U.
CPT 0067U
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$4,173.40Published rateChristopher Raio
St Francis Hospital
$2,253.64Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$1,398.92Published rateChristopher Raio
St Francis Hospital
$1,138.20Published rateSunrise Home Health Care Inc.
Sunrise Home Health Care Inc
$758.79Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 0067U vs. Other Proprietary Laboratory Analyses Codes
The CPT 0067U code is part of the Proprietary Laboratory Analyses services . It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 0067U code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 0067U-CPT | High | Onc Brst Imhchem Prfl 4 Bmrk, Oncology Breast Immunohistochemistry Protein Expression Profiling Of 4 Biomarkers Matrix Metalloproteinase 1 Mmp 1 Carcinoembryonic Antigen Related Cell Adhesion Molecule 6 Ceacam6 Hyaluronoglucosaminidase Hyal1 Highly Expressed In Cancer Protein Hec1 Formalin Fixed Paraffin Embedded Precancerous Breast Tissue Algorithm Reported As Carcinoma Risk Score |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 0067U. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 0067U fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 0067U) and we'll show you how you compare in 15 minutes or less.